I'm a Brooklyn boy. I was born in Brooklyn, New York, and raised there, and spent most of my childhood there.

I never quite envisioned myself a proper doctor under that white coat, but I was interested in the idea of healing and in the psychological dimension rather early on.

Donald Trump gives the impression that he would like to govern by decree. He has that impulse in him and he wants to be a savior, so he says, in his famous phrase, "Only I can fix it!" That's a strange and weird statement for anybody to make, but it's central to Trump's sense of self and self-presentation. And I think that has a lot to do with his identification with dictators. No matter how many they kill and no matter what else they do, they have this capacity to rule by decree without any interference by legislators or courts.

When I was still in my psychiatric residency training in New York City, I was subjected to the doctor draft of that time, during the early fifties, at the time of the Korean War.

The scientists who made the atomic bomb are, in my sense, people with a tragic destiny. You know, there was the US race with Nazi Germany and good evidence that the Germans were more advanced in nuclear physics, and we had to get the bomb first. But then there was the use of that dreadful weapon, or instrument of genocide, and many of the more sensitive scientists turned quickly into anti - nuclear people - and very effective ones.

There's an all-enveloping destructiveness in Donald Trump's character and in his psychological tendencies. But I've focused on what professionally I call solipsistic reality. Solipsistic reality means that the only reality he's capable of embracing has to do with his own self and the perception by and protection of his own self. And for a president to be so bound in this isolated solipsistic reality could not be more dangerous for the country and for the world. He's not psychotic, but I think ultimately this solipsistic reality will be the source of his removal from the presidency.

Donald Trump doesn't have clear contact with reality, though I'm not sure it qualifies as a bona fide delusion. He needs things to be a certain way even though they aren't, and that's one reason he lies. There can also be a conscious manipulative element to it. When he put forward, and politically thrived on, the falsehood of President Obama's birth in Kenya, outside the United States, he was manipulating that lie as well as undoubtedly believing it in part, at least in a segment of his personality.